Sean Patrick Fitzgibbons, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7389 Issued in NV

Practice address

305 W 12TH Ave FL 4
Columbus, OH 43210-1267

Phone

(614) 292-5399

NPI assigned

Jul 21, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Founders Endodontics

  • Dental Clinic/Center
  • Fredericksburg, VA
  • NPI 1144109349
  NPD Authorized official
• Ohio State Dental Faculty Practice Inc

  • Dentist
  • Columbus, OH
  • NPI 1164537684
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1235747643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ARLINGTON DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471552",
            "telephone_number": "540-907-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE FL 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-292-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGIBBONS",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J'Laia Fitzgerald, APRN, CNM
• Jessica Fitzgerald
• Michael Fitzgerald II
• Nekiah Fitzgerald
• Timothy Rashid Fitzgerald Sr.
• Tamara Birrell Fitzharris, LISW
• Caronline Fitzpatrick
• Gabrielle Noel Fitzpatrick, PA-C
• Kaitlin Fitzpatrick
• Nancy Fitzpatrick

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.